Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE SUTTON (CEO)
(704) 884-5552
Entity
Organization
Contact information
Practice address
1568 UNION RD STE E, GASTONIA, NC 28054-2211
(704) 864-1477
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 864-1477
(704) 396-7524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/17/2019
Last updated
06/11/2024
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